User`s guide
Identifying ECG Problems
PageWriter 200/300pi M1771A/1770A Cardiograph 6-3
6
Wandering Baseline Patient movement.
Electrode movement. Poor electrode 
contact and skin preparation.
Respiratory interference.
Reassure and relax the patient.
Be sure that the lead wires are not pull-
ing on the electrodes. Reapply elec-
trodes. Press the   key if it is 
configured for Baseline Wander.
Move lead wires away from areas with 
the greatest respiratory motion.
Tremor or Muscle 
Artifact
Poor electrode placement. Poor elec-
trode contact. Patient is cold.
Tense, uncomfortable patient.
Tremors.
Clean the electrode sites. Reapply elec-
trodes. Be sure the limb electrodes are 
placed on flat, non-muscular areas. 
Warm the patient.
Reassure and relax the patient. Press the 
 key if it is configured for Artifact.
Attach the limb electrodes near the 
trunk. Press the   key if it is config-
ured for Artifact.
Intermittent or Jittery 
Wa v e f o r m
Poor electrode contact. Dry elec-
trodes.
Faulty lead wires.
Clean the electrode site. Reapply elec-
trodes. Check expiration date on dispos-
able electrodes.
Replace faulty patient cable.
Poor print quality 
(uneven contrast or 
blank streaks)
Dirty printhead. Clean the printhead.
Use recommended paper.
Table 6-2: ECG Problems and Solutions  (Continued)
Problem Cause Possible Solutions
)LOWHU
)LOWHU
)LOWHU










